Barrie Curling Club 2010-2011 Membership Applicaton

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							            Barrie Curling Club Limited 2012-2013 Membership Application- March 23, 2012
                          175 Essa Rd., Barrie, Ontario L4N 3L2 (705) 726-1351
               Website: www.barriecurlingclub.com Email: BCCL@barriecurlingclub.com

Name: ____________________________________ Email: ______________________________________________

Address: _______________________________________________ City: __________________________________

Postal Code: _________________              Phone (H): _________________                      (W):__________________

Are you new to the club: Y / N        Have you curled before: Y / N        Male _______       Female _______

If referred to the Club by a current BCC member please indicate their name __________________________________

Phone numbers and email addresses will be shared with Club Manager & League Convenors unless advised otherwise.

                LEAGUES ARE FILLED ON A FIRST PAID, FIRST SERVED BASIS
   Priority given to 2011/12 returning league members who register & pay between April 9-13, 2012
                 ALL LEAGUE CURLERS & SPARES MUST BE BCCL MEMBERS
        Leagues                                                   Choice   Spare Only      Preferred position
                                                                                        Skip/Vice/Second/Lead
                  9:00 am        ** Sr. Mixed (Mon./Wed.)                  
                  11:15 am          Sr. CYO                                                List team members below
 MON              7:15 pm           Men’s Alternating                      
                  9:15 pm           CYO Alternating                                        List team members below

                  9:00 am          Women                                   
 TUES             11:15 am       **Sr. Mixed (Tues./Thurs.)                
                  6:00 pm          Women’s CYO                                             List team members below

                  9:00 am        **Sr. Mixed (Mon./Wed.)                   
                  11:15 am         Open CYO                                                List team members below
WED               6:00 pm          Women                                   
                  8:15 pm          Men                                     
                  11:15 am     **Sr. Mixed (Tues./Thurs.)                  
 THURS            5:15 pm        Women                                     
                  7:15&9:15 pm   CYO Alternating                                           List team members below

                  9:00 am          Super Seniors                            
 FRI              5:00 pm          Fri. Night Mixed                         
                  7:00&8:30 pm     Friday Night Mixed Alternating           
                                   Friday Night Mixed    Place with spouse/partner: (name) ____________________________

                  11:30 am         Junior (12-19 yrs)              Separate registration package is required
 SUN              12:30 pm         Little Rocks (6-12 yrs)         Separate registration package is required

** Note: 1) Fees are calculated according to number of draws played EACH week, NOT leagues registered.
         2) Senior Mixed curlers may sign up for Mon./Wed. OR Tues/Thurs. (not both).

League:                                                       League:
          Skip    ___________________________                       Skip:   __________________________
          Vice:   ___________________________                       Vice:   __________________________
          Second: ___________________________                       Second: __________________________
          Lead:   ___________________________                       Lead:   __________________________

League:                                           League:
     Skip:   ____________________________                Skip:     _________________________
     Vice:    ____________________________               Vice:     _________________________
     Second: ____________________________                Second: _________________________
     Lead:    ____________________________               Lead:     _________________________
CYO Teams: Full payment of team required to secure a spot in league.
                                            2012-2013 Curling Fees
         Membership Type             Number of draws/week            2011/12     Capital         TOTAL
                                                                                  Fund
       Adult                      Once/Week                          $375.00     $25.00          $400.00
       Adult                      Unlimited                          $525.00     $25.00          $550.00
       Senior                     Once/Week                          $335.00     $25.00          $360.00
       Senior                     Unlimited                          $465.00     $25.00          $490.00
       Friday Night Mixed **      Friday Night Mixed only            $290.00     $25.00          $315.00
       1/3 Season Adult           Oct.-Dec./Dec-Feb./Feb.-Apr.       $185.00     $25.00          $210.00
       Adult (under 29) *         Once/Week                          $225.00     $25.00          $250.00
       Adult (under 29) *         Unlimited                          $325.00     $25.00          $350.00
       Associate                  Lounge Privileges-Incl. taxes      $ 60.00                      $60.00
       Shares                                                        $ 50.00                      $50.00
       Extra Locker               Incl. taxes                        $ 25.00                      $25.00
       Late Registration ***                                         $ 25.00                      $25.00
                                  TOTAL TO BE PAID                                         $
Definitions for Fee Schedule:
          All Adult & Senior Fees include applicable OCA fees, locker + taxes
          Senior              -60 years of age as of October 1, 2012
      * Adult (under 29)      -28 years of age as of October 1, 2012
                              -Copy of proof of age must accompany membership application
     ** Friday Night Mixed fees are for this league only/no sparing or curling in other leagues
    *** Fee charged to returning members who have not submitted membership form & fees by October 5, 2012

SHARES: Shares may be included with your fee payment or deferred as follows: Every adult/senior member must
own 1 share AFTER their first year of membership. This is a ONE-TIME expense. All shareholders are entitled to
vote at meetings of the corporation. ONLY persons with 1 fully paid share are eligible to stand for the Board of
Directors. Companies or organizations owning shares may nominate one employee or official for club membership for
each share it owns, subject to approval of the Board of Directors and payment of membership dues.
Dates to Know:
Apr. 9-13/12            - First paid/first served with priority given to 2011/12 returning league members
Apr. 24/12              - BCC General Meeting 8:00 pm
May 1-Aug. 31/12        - Office will not be open on a regular basis (email & voice mail accessible)
Oct. 2/12               - BCC Shareholders Meeting 8:00 pm
Oct. 3/12               - Open House/New Members (applications received from 3:00-9:00 pm)
Oct. 9-10/12            - Instructional Clinics from 6:30-8:30 pm
Oct. 15/12              - League curling starts
Assumption of risk/release liability agreement.
I understand and agree that there is a risk of injury when participating in any physical activity including curling. I
release The Barrie Curling Club Limited from all liability arising from personal injury or death and/or damage or theft
of my personal property.

Date: _______________________ Signature:____________________________________________________

Refund/Credit Policy:
Refund or Credit will be issued by the following dates as described:
Oct. 12/12              -A full refund will be given less the $30.00 administration fee.
Nov. 30/12              -No refund. A medical certificate is required to receive a pro-rated credit note. The credit
                           note must be used within one year of issue. A $30.00 administration fee applies.
Jan. 4/13               -No refund or credit
OFFICE USE ONLY
Date Received _______________ App. # _____________________ Paid By: Cash/Debit/Cheque # ________

Visa/MC #____________________________________________Expiry Date__________Amt. Paid $__________

						
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